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Sinusoidal communication in liver fibrosis and regeneration

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1 Sinusoidal communication in liver fibrosis and regeneration
Giusi Marrone, Vijay H. Shah, Jordi Gracia-Sancho  Journal of Hepatology  Volume 65, Issue 3, Pages (September 2016) DOI: /j.jhep Copyright © 2016 European Association for the Study of the Liver Terms and Conditions

2 Fig. 1 Sinusoidal crosstalk during chronic liver injury. Initial dysregulation in functional hepatocytes (fHep) and liver sinusoidal endothelial cells (LSEC) due to liver damage lead to complex paracrine interactions (red arrows) with quiescent hepatic stellate cells (qHSC) and Kupffer cells (KC), ultimately creating a dysfunctional sinusoidal microenvironment composed by dysfunctional LSEC (dxLSEC), activated HSC (aHSC), activated KC (aKC) and dysfunctional and necroptotic hepatocytes (dxHep). Phenotypic characteristics of each cell type are progressively lost during the progression of the liver disease, and new pathologic properties appear. Journal of Hepatology  , DOI: ( /j.jhep ) Copyright © 2016 European Association for the Study of the Liver Terms and Conditions

3 Fig. 2 Effects of statins on sinusoidal cells. Summary of cellular and molecular mechanisms underlying the beneficial effects of statins in liver cells (in blue, modifications due to statins administration). Please note that to simplify the figure, paracrine interactions between statin-improved cells are intentionally omitted. Complete explanation can be found in the text. α-SMA, smooth muscle actin alpha; Arg-1, arginase-1; CAM, cell adhesion molecules; cGMP, cyclic guanosine monophosphate; COX-1, cyclooxygenase-1; eNOS, endothelial nitric oxide synthase; HNF4a, hepatocyte nuclear factor 4 alpha; KLF2, Kruppel-like factor 2; MLCP, myosin light chain phosphatase; Mrp3, ATP-binding cassette sub-family C member 3; NFkB, nuclear factor kappa-light-chain-enhancer of activated B cells; NO, nitric oxide; NOX, NADPH oxidase; Nrf2, nuclear factor (erythroid-derived 2)-like 2; ROS, radical oxygen species; TM, thrombomodulin; TXA2, thromboxane A2. Journal of Hepatology  , DOI: ( /j.jhep ) Copyright © 2016 European Association for the Study of the Liver Terms and Conditions

4 Fig. 3 Sinusoidal crosstalk during liver regeneration. Upon hepatectomy, initial signals (mainly IL-6) from Kupffer cells (KC), macrophages and other non-myeloid cells lead to the first burst of hepatocytes proliferation, which in turn will produce vascular endothelial growth factor (VEGF) to recruit bone marrow-derived sinusoidal progenitor cells (BM SPC) as a key source of hepatocyte growth factor (HGF). Latterly, hepatic stellate cells (HSC) and liver sinusoidal endothelial cells (LSEC) contribute to the regeneration process. Journal of Hepatology  , DOI: ( /j.jhep ) Copyright © 2016 European Association for the Study of the Liver Terms and Conditions


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